Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Ericka Ravenell, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1992150270

MS. Ericka Ravenell, PHYSICIANASSISTANT is a Physician Assistant in Bronx, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2020, 6 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
6
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
GA, NY
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-2985
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9660 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 019650 (NY)

Record details

NPI number1992150270
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2020 (6 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx